Doctor Name: | THEODORA HELENE ANAGNOSTAKOS |
NPI Number: | 1427203553 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 013560-1 |
Business Practice Address: | 25 Ascot Ridge Rd Great Neck, NY - 110212912 |
Business Phone Number: | 6462614672 |
Business Fax Number: | |
Mailing Address: | 25 Ascot Ridge Rd, GREAT NECK |
State: | NY |
Postal Code: | 110212912 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/17/2008 |
NPI Last Update Date: | 11/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 013560-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |